Individual
CHRISTINE MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 438-8910
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188219
—
OH
Enumeration date
09/06/2016
Last updated
05/07/2020
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